Individual provider · Type 1 NPI

Cassandra Lee Kotnik, MSW, LICSW

Clinical Social Worker · Virginia, MN

NPI number 1295200624 Active

Practice location

624 13th St S
Virginia, MN 55792-3149

Call (218) 749-2881 Map

Fax (218) 749-3806

Mailing address

PO Box 1188
Virginia, MN 55792-1188

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X19965 (MN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1295200624

Cassandra Lee Kotnik, MSW, LICSW's National Provider Identifier is 1295200624, issued on Oct 12, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Virginia, MN. The record was last updated on Oct 12, 2018.